Provider Demographics
NPI:1851381503
Name:HEALTH CARE PARTNERS PC
Entity Type:Organization
Organization Name:HEALTH CARE PARTNERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:E
Authorized Official - Middle Name:DEREK
Authorized Official - Last Name:PESKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-536-6338
Mailing Address - Street 1:125 HARTMAN RD
Mailing Address - Street 2:STE A
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6463
Mailing Address - Country:US
Mailing Address - Phone:724-836-6338
Mailing Address - Fax:724-836-6337
Practice Address - Street 1:125 HARTMAN RD
Practice Address - Street 2:STE A
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6463
Practice Address - Country:US
Practice Address - Phone:724-836-6338
Practice Address - Fax:724-836-6337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD012012E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012984500003Medicaid
210138OtherVPMC
1001391OtherGATEWAY
13058OtherHEALTH AMERICA
PA0012984500003Medicaid
1001391OtherGATEWAY